In this listener mailbag episode, SLP grad students, clinicians, and private practice owners call the Minivan Meltdown line to share what’s really happening behind the scenes in our field.
First, a grad student with a repaired bilateral cleft lip and palate describes a supervisor who told her she “can’t be a good SLP” because of her speech difference. Dr. Jeanette Benigas and Preston Lewis, SLP, break down discrimination in training, how CCC standards exclude disabled and Deaf clinicians, and why difference is not disorder.
Next, a medical SLP who accidentally dropped her CCC in 2008 shares what happened when she kept her state license and kept working. We talk shame culture, confusion around the CCC, mutual recognition agreements, and why so many CCC “rules” fall apart under scrutiny.
Finally, a private practice owner in Kentucky explains how pediatric F-codes (like F80) were treated as “mental health” diagnoses, triggering visit caps, mass denials, and 12–18 month reimbursement delays. We unpack F-code chaos, the Mental Health Parity Act, and why small practices shouldn’t be the ones stuck fighting insurers.
If you’ve ever been gaslit by a supervisor, confused by the CCC, or crushed by insurance games, this episode is your reminder: you’re not the problem. The system is.
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